Active NPI
Christine Edith Leclerc, LADC
- Addiction (Substance Use Disorder) Counselor
- Las Vegas, NV
National Provider Identifier
1508940560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 01165-L
- Practice address
- 2740 S Jones Blvd
Las Vegas, NV 89146-5306 - Phone
- (702) 248-8866
- Fax
- (702) 248-1339
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 01165-L | NV | Primary |
Addresses
Primary practice location
2740 S Jones Blvd
Las Vegas, NV 89146-5306
Mailing address
2740 S Jones Blvd
Las Vegas, NV 89146-5306
Phone (702) 248-8866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240717002829 | NV | Practitioner - Mental Health Counselor | 4688119324 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01165-L | NV | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Psychiatric Services, LLC | Current | Accepting new patients | |
| Progressive Psychiatric Services, LLC | Past | Accepting new patients | |
| GLC Wellness Center LLC | Past | Accepting new patients |
Locations
2830 S Jones Blvd
Ste 3
Las Vegas, NV 89146
Phone (702) 899-1208
2021 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 750-1820
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Las Vegas, NV
- NPI 1811639685
NV
-
- Family Medicine Physician
- Las Vegas, NV
- NPI 1225622889
-
- Addiction Psychiatry Physician
- Las Vegas, NV
- NPI 1235922295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1508940560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2740 S JONES BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891465306",
"telephone_number": "702-248-8866",
"fax_number": "702-248-1339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2740 S JONES BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891465306",
"telephone_number": "702-248-8866",
"fax_number": "702-248-1339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LECLERC",
"first_name": "CHRISTINE",
"middle_name": "EDITH",
"credential": "LADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NV",
"license": "01165-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.